MS-DRG v44.0 · MDC 01: Diseases and Disorders of the Nervous System
085 — Traumatic Stupor and Coma <1 Hour with MCC
This DRG is subject to the post-acute care transfer policy.
- Relative weight
- 2.245
- Geometric mean LOS
- 4.4 days
- Arithmetic mean LOS
- 6.1 days
- Type
- Medical
About MS-DRG 085
MS-DRG 085, Traumatic Stupor and Coma <1 Hour with MCC, is a medical DRG in MDC 01 (Diseases and Disorders of the Nervous System) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.
Its FY2027 relative weight is 2.245, so Medicare's base payment for this DRG is about 2.25 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 4.4 days and the arithmetic mean is 6.1 days.
It belongs to a 3-level severity family: DRG 085 (with MCC, weight 2.245), DRG 086 (with CC, weight 1.3067) and DRG 087 (without CC/MCC, weight 0.9223). The highest-severity level carries 2.4 times the weight of the lowest, which is why documenting CC and MCC conditions matters.
It is subject to Medicare's post-acute care transfer policy, so payment can be reduced when a patient with a shorter-than-average stay is discharged to a skilled nursing facility, home health or another post-acute setting.
119 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.
ICD-10-CM codes that group to DRG 085 (119)
Chapter 19: Injury, poisoning and certain other consequences of external causes
- S02.0XXAFracture of vault of skull, initial encounter for closed fracture
- S02.0XXBFracture of vault of skull, initial encounter for open fracture
- S02.101AFracture of base of skull, right side, initial encounter for closed fracture
- S02.101BFracture of base of skull, right side, initial encounter for open fracture
- S02.102AFracture of base of skull, left side, initial encounter for closed fracture
- S02.102BFracture of base of skull, left side, initial encounter for open fracture
- S02.109AFracture of base of skull, unspecified side, initial encounter for closed fracture
- S02.109BFracture of base of skull, unspecified side, initial encounter for open fracture
- S02.110AType I occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.110BType I occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.111AType II occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.111BType II occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.112AType III occipital condyle fracture, unspecified side, initial encounter for closed fracture
- S02.112BType III occipital condyle fracture, unspecified side, initial encounter for open fracture
- S02.113AUnspecified occipital condyle fracture, initial encounter for closed fracture
- S02.113BUnspecified occipital condyle fracture, initial encounter for open fracture
- S02.118AOther fracture of occiput, unspecified side, initial encounter for closed fracture
- S02.118BOther fracture of occiput, unspecified side, initial encounter for open fracture
- S02.119AUnspecified fracture of occiput, initial encounter for closed fracture
- S02.119BUnspecified fracture of occiput, initial encounter for open fracture
- S02.11AAType I occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11ABType I occipital condyle fracture, right side, initial encounter for open fracture
- S02.11BAType I occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11BBType I occipital condyle fracture, left side, initial encounter for open fracture
- S02.11CAType II occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11CBType II occipital condyle fracture, right side, initial encounter for open fracture
- S02.11DAType II occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11DBType II occipital condyle fracture, left side, initial encounter for open fracture
- S02.11EAType III occipital condyle fracture, right side, initial encounter for closed fracture
- S02.11EBType III occipital condyle fracture, right side, initial encounter for open fracture
- S02.11FAType III occipital condyle fracture, left side, initial encounter for closed fracture
- S02.11FBType III occipital condyle fracture, left side, initial encounter for open fracture
- S02.11GAOther fracture of occiput, right side, initial encounter for closed fracture
- S02.11GBOther fracture of occiput, right side, initial encounter for open fracture
- S02.11HAOther fracture of occiput, left side, initial encounter for closed fracture
- S02.11HBOther fracture of occiput, left side, initial encounter for open fracture
- S02.121AFracture of orbital roof, right side, initial encounter for closed fracture
- S02.121BFracture of orbital roof, right side, initial encounter for open fracture
- S02.122AFracture of orbital roof, left side, initial encounter for closed fracture
- S02.122BFracture of orbital roof, left side, initial encounter for open fracture
- S02.129AFracture of orbital roof, unspecified side, initial encounter for closed fracture
- S02.129BFracture of orbital roof, unspecified side, initial encounter for open fracture
- S02.19XAOther fracture of base of skull, initial encounter for closed fracture
- S02.19XBOther fracture of base of skull, initial encounter for open fracture
- S02.831AFracture of medial orbital wall, right side, initial encounter for closed fracture
- S02.831BFracture of medial orbital wall, right side, initial encounter for open fracture
- S02.832AFracture of medial orbital wall, left side, initial encounter for closed fracture
- S02.832BFracture of medial orbital wall, left side, initial encounter for open fracture
- S02.839AFracture of medial orbital wall, unspecified side, initial encounter for closed fracture
- S02.839BFracture of medial orbital wall, unspecified side, initial encounter for open fracture
- S02.841AFracture of lateral orbital wall, right side, initial encounter for closed fracture
- S02.841BFracture of lateral orbital wall, right side, initial encounter for open fracture
- S02.842AFracture of lateral orbital wall, left side, initial encounter for closed fracture
- S02.842BFracture of lateral orbital wall, left side, initial encounter for open fracture
- S02.849AFracture of lateral orbital wall, unspecified side, initial encounter for closed fracture
- S02.849BFracture of lateral orbital wall, unspecified side, initial encounter for open fracture
- S02.85XAFracture of orbit, unspecified, initial encounter for closed fracture
- S02.85XBFracture of orbit, unspecified, initial encounter for open fracture
- S02.91XAUnspecified fracture of skull, initial encounter for closed fracture
- S02.91XBUnspecified fracture of skull, initial encounter for open fracture
- S06.1X0ATraumatic cerebral edema without loss of consciousness, initial encounter
- S06.1X1ATraumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter
- S06.1X2ATraumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.2X0ADiffuse traumatic brain injury without loss of consciousness, initial encounter
- S06.2X1ADiffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.2X2ADiffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.300AUnspecified focal traumatic brain injury without loss of consciousness, initial encounter
- S06.301AUnspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.302AUnspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.310AContusion and laceration of right cerebrum without loss of consciousness, initial encounter
- S06.311AContusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.312AContusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.320AContusion and laceration of left cerebrum without loss of consciousness, initial encounter
- S06.321AContusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.322AContusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.330AContusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter
- S06.331AContusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter
- S06.332AContusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.340ATraumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter
- S06.341ATraumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.342ATraumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.350ATraumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter
- S06.351ATraumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter
- S06.352ATraumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.360ATraumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter
- S06.361ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter
- S06.362ATraumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.370AContusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter
- S06.371AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter
- S06.372AContusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.380AContusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter
- S06.381AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter
- S06.382AContusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.4X0AEpidural hemorrhage without loss of consciousness, initial encounter
- S06.4X1AEpidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
- S06.4X2AEpidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.5X0ATraumatic subdural hemorrhage without loss of consciousness, initial encounter
- S06.5X1ATraumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
- S06.5X2ATraumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.6X0ATraumatic subarachnoid hemorrhage without loss of consciousness, initial encounter
- S06.6X1ATraumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
- S06.6X2ATraumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.810AInjury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter
- S06.811AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
- S06.812AInjury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.820AInjury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter
- S06.821AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
- S06.822AInjury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.890AOther specified intracranial injury without loss of consciousness, initial encounter
- S06.891AOther specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.892AOther specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.8A0APrimary blast injury of brain, not elsewhere classified without loss of consciousness, initial encounter
- S06.8A1APrimary blast injury of brain, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter
- S06.8A2APrimary blast injury of brain, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.9X0AUnspecified intracranial injury without loss of consciousness, initial encounter
- S06.9X1AUnspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter
- S06.9X2AUnspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter
- S06.A0XATraumatic brain compression without herniation, initial encounter
- S06.A1XATraumatic brain compression with herniation, initial encounter
Common questions about DRG 085
What is the relative weight of DRG 085?
- 2.245 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 085?
- The geometric mean length of stay is 4.4 days; the arithmetic mean is 6.1 days.
Is DRG 085 medical or surgical?
- DRG 085 is a medical DRG.